Jusuf S Effendi
Faculty of Medicine University of Padjadjadran/Dr. Hasan Sadikin Hospital Bandung

Published : 6 Documents
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The Rise of Inhibin A Serum Level in Preterm Labor

Indonesian Journal of Obstetrics and Gynecology Vol. 35. No 3. July 2011
Publisher : Indonesian Journal of Obstetrics and Gynecology

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AbstractObjective: The purpose of this study was to measure inhibin A serum level in women with preterm delivery, thus determining any correlation between inhibin A serum and gestational age in preterm delivery.Method: The design of our study was cross sectional with 36 subjects who came to Dr. Hasan Sadikin Hospital, Bandung and six satellite hospitals in July-August 2011 and met inclusion-exclusion criteria. Inhibin A serum level was measured with ELISA. Inhibin A serum level in preterm labor and was compared using independent t test, and correlation between inhibin A serum level and gestational age in patients with preterm labor was calculated using Pearson correlation test.Result: Characteristics test in both groups showed that both are homogeneous and comparable. The mean inhibin A serum level in preterm labor was higher (845.733 pg/ml) compared with preterm gestation (568.203 pg/ml) (p = 0.025). There was a significant correlation between inhibin A serum level and gestational age in preterm labor (p = 0.023) with a correlation coefficient of 0.38, indicating a moderate positive relationship.Conclusion: Inhibin A serum level in preterm labor was higher than preterm pregnancy. In preterm labor, inhibin A serum level increases with gestational age.[Indones J Obstet Gynecol 2011; 35-3: 110-4]Keywords: preterm delivery, inhibin A serum level

The Correlation between Psychosocial Stress and Prematurity

Indonesian Journal of Obstetrics and Gynecology Vol. 36. No 2. April 2012
Publisher : Indonesian Journal of Obstetrics and Gynecology

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AbstractObjective: This study was aimed to analyze the relationship between the level of psychosocial stress on preterm birth and termbirth.Methods: This was a cross-sectional study, with 45 patients experiencing preterm birth and at term birth, who met the inclusion and exclusion criterias in Obstetrics and Gynecology Department of Dr. Hasan Sadikin Hospital and other hospital nearby. Result: The level of psychosocial stress on preterm birth was severe 64.4 %, moderate 14% and mild 2%. The comparison between the group resulted in p < 0.001 using chi-square test with confidence interval 95% and correlation coefficient was phi = 0.811. The specific psychosocial stressor were problem with in laws (p=0.001), problem with husband (p=0.003), foreclosure on a mortgage or loan (p=0.001), change in residence (p=0.001), major change in living conditions (building a new home, remodeling) (p=0.001), no monetary possession (p=0.001), major change in financial state (p=0.004), environment vulnerability (p=0.035), and being dismissal from work (p=0.014). Conclusion: The relationship between psychosocial stress and preterm birth was significant. The stressor included problem with in laws foreclosure on a mortgage or loan, change in residence, major change in living conditions (building a new home, remodeling, no monetary possesion, major change in financial state, environment vulnerability, and dismissal from work. [Indones J Obstet Gynecol 2012; 36-2: 55-60]Keywords: preterm birth, psychosocial stress

Heme Oxygenases1 (Hmox1) and Serum Ferritin Level between Preeclampsia and Normal Pregnancy

Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To determine the comparison of Hmox-1 to serum ferritin level between patients with preeclampsia and normal pregnancy. Methods: This study used analytic observational with cross sectional design. We included 30 subjects with preeclampsia and the other 30 people with normal pregnancy in accordance with inclusion and exclusion criteria. Examination of Hmox-1 and ferritin level was performed through ELISA method. The data consisted of physical and laboratory examination and they would be continued to the calculation in the statistical analysis. Results: The average of Hmox-1 level in normal pregnancy and preeclampsia was 1.2 (SD 1.6) ng/ml and 0.3 (SD 0.2) ng/ml (p

Pengaruh Implementasi Praktik Community Based Medical Education (CBME) terhadap Peningkatan Kemampuan Soft Skills Kepemimpinan dan Komunikasi pada Mahasiswa DIII Kebidanan

Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care Vol 2, No 3 (2015): September
Publisher : Program Studi Magister Kebidanan FK UNPAD

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Abstract

Pendidikan kesehatan berbasis masyarakat/ Community Based Medical Education (CBME) diperlukanuntuk meningkatkan kompetensi mahasiswa kebidanan. Mahasiswa kebidanan harus mempunyaikemampuan hard skills dan soft skills yang unggul untuk bisa menjadi bidan profesional yangkompeten mampu memberikan intervensi berbasis bukti, mampu berkomunikasi, mampu memimpindan bekerjasama dalam tim, serta mampu memberikan solusi pada permasalahan yang sulit dalampelayanan kebidanan. Implementasi program tersebut selama ini belum pernah dianalisis lebih lanjutterutama tercapainya tujuan pembelajaran soft skills meliputi kepemimpinan dankomunikasi.Penelitian ini bertujuan untuk menganalisis pengaruh implementasi praktik CBMEterhadap peningkatan kemampuan kepemimpinan dan komunikasi mahasiswa kebidanan. Penelitianini merupakan penelitian kuantitatif dengan pre eksperimen one group pre-post test design.Subjekdalam penelitian ini adalah mahasiswa kebidanan semester VI di Akademi Kebidanan YLPPPurwokerto. Instrumen penelitian menggunakan kuesioner.Terdapat pengaruh implementasi praktikCommunity Based Medical Education terhadap peningkatan kemampuan soft skills kepemimpinan dankomunikasi mahasiswa kebidanan yang dilihat dari nilai p-value (0.000) kurang dari nilai α (0.05).Simpulan CBME merupakan salah satu metode pembelajaran yang efektif untuk meningkatkankemampuan kepemimpinan dan komunikasi mahasiswa kebidanan

Heme Oxygenases1 (Hmox1) and Serum Ferritin Level between Preeclampsia and Normal Pregnancy

Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Original Source | Check in Google Scholar | Full PDF (90.635 KB)

Abstract

Objective: To determine the comparison of Hmox-1 to serum ferritin level between patients with preeclampsia and normal pregnancy. Methods: This study used analytic observational with cross sectional design. We included 30 subjects with preeclampsia and the other 30 people with normal pregnancy in accordance with inclusion and exclusion criteria. Examination of Hmox-1 and ferritin level was performed through ELISA method. The data consisted of physical and laboratory examination and they would be continued to the calculation in the statistical analysis. Results: The average of Hmox-1 level in normal pregnancy and preeclampsia was 1.2 (SD 1.6) ng/ml and 0.3 (SD 0.2) ng/ml (p

Hubungan Sumber Daya Manusia, Sarana Prasarana, Komunikasi PONED–PONEK, dan Standar Operasional Prosedur dengan Syarat dan Persiapan Rujukan Puskesmas PONED

Jurnal Kesehatan Prima Vol 13, No 1 (2019): FEBRUARI
Publisher : poltekkes kemenkes mataram

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Abstract

Rujukan pelayanan kesehatan merupakan salah satu upaya untuk penanganan kasus emergensi yang mengatur pelimpahan tugas dan tanggung jawab pelayanan kesehatan secara timbal balik, baik vertikal maupun horizontal. Memperkuat sistem rujukan merupakan salah satu cara dalam mempercepat penurunan angka kematian ibu. Upaya tersebut tidak terlepas dari penanganan kasus emergensi di fasilitas pelayanan kesehatan melalui peningkatan PONED di puskesmas dan PONEK di rumah sakit. Untuk mendukung pelayanan PONED dan PONEK dibutuhkan pembentukan sistem rujukan yang sesuai standar. Pelaksanaan Rujukan yang terorganisir harus dilakukan dengan syarat dan persiapan yang tepat untuk merujuk kasus kegawatdaruratan ibu dan bayi secara tepat dan cepat.  Tujuan penelitian ini adalah menganalisis hubungan sumberdaya manusia, sarana prasarana, komunikasi PONED – PONEK, dan standar operasional prosedur dengan syarat dan persiapan rujukan puskesmas PONED.Desain penelitian observasional analitik kuantitatif dengan metode survei, pendekatan waktu cross sectional. Pengukuran data menggunakan pemodelan Rasch dengan mengubah data ordinal menjadi data interval dalam bentuk logit. Populasi dalam penelitian ini adalah Tim inti PONEDdari 18 Puskesmas PONED di  Wilayah Bagian Utara Provinsi Aceh. Sampel berjumlah 72 orang diambil secara total sampling. Variabel diukur menggunakan kuesioner. Analisis bivariabel menggunakan Pearson Correlation Test sedangkan untuk multivariabel menggunakan Multiple Linear Regression.Hasil penelitian menunjukkan bahwa syarat dan persiapan rujukan belum sesuai standar, umpan balik dari RS PONEK ke Puskesmas PONED sangat susah dilaksanakan, sumberdaya manusia tidak memenuhi kualifikasi standar minimal Puskesmas PONED dan belum terlatih, sarana prasarana rujukan yang tersedia untuk di ambulan belum cukup, komunikasi PONED–PONEK masih satu arah dan standar operasional prosedur belum lengkap, dan tidak diletakkan di tempat yang mudah dilihat petugas. Hasil analisis Multiple Linear Regression menunjukkan bahwa variabel yang paling dominan berhubungan dengan syarat dan persiapan rujukan adalah standar operasional prosedur (p<0,001). Simpulan dalam penelitian ini adalah pelaksanaan rujukan puskesmas PONED yang sesuai standar masih belum tercapai, belum semua sumberdaya manusia yang tersedia memenuhi kualifikasi Puskesmas PONED. Diharapkan dukungan dinas kesehatan akan berpengaruh pada kesiapan rujukan Puskesmas PONED yang berkualitas.